The University of Texas of the Permian Basin

Annual Faculty Update Form

For Merit and Workload Release

For the Period: January 1 to December 31,

*Due to the Office of the Provost/VPAA: February 14.

**Please include updated curriculum vitae with this form

I. General Information

Faculty Name:

Department:

College:

Rank:

Other Titles (Department Chair, Area Coordinator, etc):

Years in Present Rank/Titles:

Endowed Title (if applicable):

Years in Endowed Position (if applicable):

Years at UTPB:

II. Teaching

  1. Teaching Honors/Awards:
  2. Course Development and Innovation:
  3. Program/Curricular Development and Innovation:
  4. Student Teaching Evaluation Summary Data:

Course Discipline / Course Number / Semester Taught / Students Enrolled / Mean Instructor Rating
  1. Peer Observations of Teaching (please attach, if available):
  2. Theses Chaired (number in progress, number graduated in past year):
  1. Thesis Committee Service (number in progress, number graduated in past year):
  1. Other Teaching-Related Activities:

III. Research and Creative Activities

  1. Scholarship/Creative Activity Honors/Awards:
  1. Scholarly and Creative Activities (excluding grants and contracts)

Brief listing of publications, presentations, and other scholarly/creative activities completed during the past year:

  1. Scholarly/Creative Productivity Summary Data

Activity / Year Total / 5-Year Total / Career Total
Books
Refereed Journal Articles
Refereed Conference Proceedings
Chapters in Books
Published Book Reviews
Other Publications
Refereed Conference Presentations, Abstracts, Posters Sessions
Other Presentations
Creative Performances/Competitions/Exhibitions, etc.
Other Scholarly/Creative Activities
  1. External Grants and Contracts

Brief listing of grant and contract activity completed during the past year:

E. External Grant/Contract Activity Summary Data

Activity/Role / Year Number Total / Year Funding Total / UTPB Funding Total
Principal Investigator
Co-Principal Investigator
Participant
External Applications/Requests Under Review
Unfunded Applications/Requests

F. Internal (UTPB) Grants (Number, Type, Amount(s) Awarded):

  1. Scholarly, Creative, Grant/Contract Activity in Progress:
  1. External Peer Evaluations of Scholarship (please attach, if available)

IV. Service

A. Service Honors/Awards:

B. Student Advising (Number of Undergraduate and Graduate Advisees):

C. Student Success Activities (High Impact Practices--First-Year Seminars/Experiences, Writing Intensive Courses, Learning Communities, Collaborative Student Research, Internships, Capstone Projects, Diversity/Global Learning, Service Learning, Community, Based Learning, Student Honor Society/Club/Organization Sponsor, other):

D. Workshops/Trainings (Student Success Collaborative, PeopleSoft, Advising, etc.):

E. Student Recruitment:

F. Other University Service:

G. UT System Service:

H. Professional Service:

I. Community Service:

J. Other Service:

***PLEASE INCLUDE AN UPDATED CV WITH THIS FORM***

Faculty Release Request Form*

*For releases granted during 2017-2018 academic year

Check
X / Release Type (Please refer to HOP 3.1) / Fall (SCH) / Spring (SCH) / Year Total
Coordinates several sections of a single course (3.126)
(1 SCH for each 6 sections)
Course prefix & number:
Department chair (3.128)
Department Name:
Academic services to the unit head (3.128)
Not to exceed 9 SCH total within the unit
Justification:
Newly-appointed faculty member to develop instructional materials (3.126) Up to 2 semesters in the first year only
Instructional development (3.1211)
[i.e. creation of a new course, new course format, or new course material]
Justification:
Insufficient enrollment (3.131) 2 consecutive semester only
Course prefix & number:
Major Academic Advising (3.132)
Major documentation preparation for program needs or accreditation (3.132)
Justification:
Duties performed in the best interest of UTPB (3.132)
Justification:
Research or producing creative works (3.1212)
Credit may not be given in the same semester as credit for instructional development Brief Description of current research/ creative activities: (Add attachment if needed)
Total workload release requested:

Department Chair: Date:

Dean: Date:

Provost: Date:

President: Date:

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